Active NPI
Kelamis Plastic Surgery, PLLC
- Plastic Surgery Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- KELAMIS PLASTIC SURGERY, PLLC
- Practice address
- 101 Grant Place
Suite a
Fayetteville, AR 72703-5255 - Phone
- (479) 935-3227
- Fax
- (833) 927-2540
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Alexander Kelamis, MD
- Title
- Plastic Surgeon/Owner
- Phone
- (918) 408-3549
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
101 Grant Place
Suite a
Fayetteville, AR 72703-5255
Mailing address
2905 N Rom Orchard Rd
Fayetteville, AR 72703-4679
Phone (479) 316-3430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209751001 | Medicaid | AR | |
| 425716AD6D | Other | AR | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1792 E Joyce Blvd
Fayetteville, AR 72703
Phone (479) 316-3003
1792 E Joyce Blvd
Ste 1A
Fayetteville, AR 72703
Phone (479) 935-3227
1792 E Joyce Blvd
Ste 2
Fayetteville, AR 72703
Phone (479) 316-3003
101 Grant Pl
Ste A
Lowell, AR 72745
Phone (479) 275-3520
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Fort Smith, AR
- NPI 1821263765
-
- Family Nurse Practitioner
- Lowell, AR
- NPI 1801385976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773619200000",
"number": "1497346407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 N ROM ORCHARD RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034679",
"telephone_number": "479-316-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GRANT PLACE",
"address_2": "SUITE A",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035255",
"telephone_number": "479-935-3227",
"fax_number": "833-927-2540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELAMIS PLASTIC SURGERY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A",
"authorized_official_last_name": "KELAMIS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "PLASTIC SURGEON/OWNER",
"authorized_official_telephone_number": "918-408-3549",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209751001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "425716AD6D",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.